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Barthel scale

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The Barthel scale or Barthel ADL index is a scale used to measure performance in basic Activities of Daily Living. It uses ten variables describing activities of daily living (ADL) and mobility. A higher number is associated with a greater likelihood of being able to live at home with a degree of independence following discharge from hospital. The scale was introduced in 1965,[1] and yielded a score of 0-20. Although this original version is still widely used, it was modified by Granger et al in 1979, when it came to include 0-10 points for every variable,[2] and further refinements were introduced in 1989.[3] The scale is regarded as reliable, although its use in clinical trials in stroke medicine is inconsistent.[4]

The ten variables addressed in the Barthel scale are[1]:

  • presence or absence of fecal incontinence
  • presence or absence of urinary incontinence
  • help needed with grooming
  • help needed with toilet use
  • help needed with feeding
  • help needed with transfers (e.g. from chair to bed)
  • help needed with walking
  • help needed with dressing
  • help needed with climbing stairs
  • and help needed with bathing

See also

References

  1. ^ a b Mahoney F. Barthel D (1965). "Functional evaluation: the Barthel Index". Md Med J. 14: 61–65. PMID 14258950.
  2. ^ Granger CV, Dewis LS, Peters NC, Sherwood CC, Barrett JE (1979). "Stroke rehabilitation: analysis of repeated Barthel index measures". Arch Phys Med Rehabil. 60 (1): 14–7. PMID 420565. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  3. ^ Shah S, Vanclay F, Cooper B (1989). "Improving the sensitivity of the Barthel Index for stroke rehabilitation". J Clin Epidemiol. 42 (8): 703–9. doi:10.1016/0895-4356(89)90065-6. PMID 2760661.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  4. ^ Sulter G, Steen C, De Keyser J (1999). "Use of the Barthel index and modified Rankin scale in acute stroke trials". Stroke. 30 (8): 1538–41. PMID 10436097. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
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